A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Reduce maternal and fetal tachycardia associated with terbutaline administration.

Suppress uterine contractions.

Stimulate fetal surfactant production.

Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Answer and Explanation

The Correct Answer is C

Betamethasone is a corticosteroid that enhances fetal lung maturity, which can help reduce the risk of respiratory distress syndrome and other complications in preterm infants. It does not reduce maternal and fetal tachycardia associated with terbutaline administration, suppress uterine contractions, or maintain maternal respiratory effort and ventilation during magnesium sulfate therapy.

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Correct Answer is B

Explanation

Epidural blocks are commonly used during labor to provide pain relief. However, they can also cause a sudden drop in blood pressure, known as epidural-induced hypotension, which can affect fetal oxygenation and fetal heart rate. Therefore, it is important to monitor maternal blood pressure frequently after an epidural block is administered.

While monitoring the maternal pulse is also important, hypotension is the most common complication of epidural anesthesia and can lead to decreased blood flow to the fetus. Therefore, monitoring maternal blood pressure is the priority.

Monitoring the fetus is also important, but it is not the most important intervention after an epidural block. Limiting parenteral fluids may be necessary in some cases to help prevent or treat hypotension, but it is not always necessary and should be done based on the individual situation.

A. Kangaroo care was adopted from classical British nursing traditions. B. This intervention helps infants with motor and CNS impairments. C. This intervention gets infants ready for breastfeeding. D. Kangaroo care helps infants interact directly with their parents and enhances their temperature regulation.

Correct Answer is D

Explanation

Kangaroo care is skin-to-skin contact between a newborn and parent(s) that helps regulate the infant's temperature, respiratory and heart rates, and enhances parent-infant bonding.

It is recommended for all infants, regardless of their gestational age or health status, and has been found to improve outcomes for premature and low-birth-weight infants. Kangaroo care is not specifically designed to address motor and CNS impairments, nor is it adopted from classical British nursing traditions. While it may help prepare infants for breastfeeding, this is not the primary goal of the intervention.

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A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman in labor has just received an epidural black. The most important nursing intervention is to:

Correct Answer is B

Explanation

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

Correct Answer is D

Explanation

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

A nurse is developing goals for a community education program. Which of the following methods should be used?

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to: